Referencesll Wales Tissue Viability Nurse Forum and All Wales Continence Forum (2014) Best Practice Statement on the Prevention and Management of Moisture Lesions. [Online] Available at: https://www.wwic.wales/uploads/files/documents/Professionals/Clinical%20Partners/AWTVNF/All_Wales-Moisture_Lesions_final_final.pdf
Anderson I (2017) ‘Leaky legs’: strategies for the treatment and management of lower-limb lymphorrhoea. Nursing Times 113(1): 50–3
Banharak S, Panpanit L, Subindee S et al (2021) Prevention and Care for Incontinence-Associated Dermatitis Among Older Adults: A Systematic Review. J Multidiscip Healthc 14: 2983-3004
Bardsley A (2016) An overview of urinary incontinence. Br J Nurs 25(18): 14-21
Beeckman D, Campbell J, Campbell K et al (2015) Proceedings of the Global IAD Expert Panel. Incontinence-associated Dermatitis: Moving Prevention Forward. Wounds International
Beele H, Smet S, Van Damme N, Beeckman D (2017) Incontinence-associated dermatitis: pathogenesis, contributing factors, prevention and management options. Drugs Aging 35(1): 1–10
Bender JK, Faergemann J, Sköld M (2017) Skin health connected to the use of absorbent hygiene products: a review. Dermatol Ther (Heidelb) 7(3): 319–30
Bernatchez SF, Thayer D (2020) Periwound moisture-associated skin damage: an overview of etiology and management, Dialogues in Wound Management 2(3). [Online] Available at: https://dialoguesinwoundmanagement.com/periwound-moisture-associated-skin-damage-an-overview-of-etiology-and-management/
Black JM, Gray M, Bliss DZ et al (2011) MASD Part 2: Incontinence-associated dermatitis and intertriginous dermatitis. J WOCN 38(4): 359-70
Broadhead R, Livesey J, Ritchie G (2020) The courage to compress. Wound Care Today. [Online] Available at: https://www.woundcare-today.com/journals/issue/1/article-details/courage-compress
Buckley BS, Sanders CD, Spineli L et al (2019) Conservative interventions for treating functional daytime urinary incontinence in children. Cochrane Database Syst Rev 9(9): CD012367
Burch J, Marsden J, Boyles A et al (2021) Keep it simple: Peristomal skin health, quality of life and wellbeing. Best practice consensus document on skin health. Br. J. Nurs 30(6): 5–24
Burgess-Stocks J, Gleba J, Lawrence K et al (2022) Ostomy and Continent Diversion Patient Bill of Rights: Research Validation of Standards of Care. JWOCN 49(3): 251–260
Coleman S, Nelson EA, Keen J, Wilson L (2014) Developing a pressure ulcer risk factor minimum data set and risk assessment framework. J Adv Nurs. 70: 2339–2352
Colostomy UK (2022) What is a stoma? [Online] Available at: https://www.colostomyuk.org/information/ what-is-a-stoma/
Cotterell L, Boutflower C, Copson D (2020) Managing intertriginous dermatitis (intertrigo) with a Total Barrier Protection strategy. Wounds UK 16(4)
D’Ambrosio F, Pappalardo C, Scardigno A et al (2022) Peristomal Skin Complications in Ileostomy and Colostomy Patients: What We Need to Know from a Public Health Perspective. Int J Environ Res Public Health 20(1): 79
De Smet K, van den Plas D, Lens D, Sollie P (2009) Pre-clinical Evaluation of a New Antimicrobial Enzyme for the Control of Wound Bioburden. Wounds 21(3): 65–73
Dhoonmoon L (2023) Skin tone in the management of incontinence-associated dermatitis. J Gen Practice Nurs 9(3): 34–40
Dowsett C, Allen L (2013) Moisture-associated skin damage made easy. Wounds UK 9(4): 1-4
Falloon SS, Abbas S, Stridfeldt C, Cottenden A (2018) The impact of microclimate on skin health with absorbent incontinence product use: an integrative review. JWOCN 45(4):341–8
Flanagan M (2020) Incontinence-associated dermatitis 2: assessment, diagnosis and management. Nursing Times 116(4): 40-44
Fletcher J, Beeckman D, Boyles A et al (2020) International Best Practice Recommendations: Prevention and management of moisture-associated skin damage (MASD). Wounds International
Forest-Lalande L, Parsons L, McPhee S et al (2025) Best practice recommendations for the prevention and management of moisture-associated skin damage. Wounds Canada
Gray M, Giuliano KK (2018) Incontinence-Associated Dermatitis, Characteristics and Relationship to Pressure Injury: A Multisite Epidemiologic Analysis. JWOCN 45(1): 63–7
Gray M, Bliss DZ, McNichol L (2022) Moisture-Associated Skin Damage: Expanding and Updating Practice Based on the Newest ICD- 10-CM Codes. JWOCN 49(2): 143–151
Harte S and Marshall A (2025) Moisture-associated skin damage – exploring the four pillars of skin damage and providing practical solutions. Wounds UK 21(1) 74–8
Incontinence UK (2022) How Incontinence Affects Men And Women Differently. [Online] Available at: https://www. incontinenceuk.co.uk/news/how-incontinence-affects- men-and-women-differently
International Wound Infection Institute (IWII; 2025) Therapeutic wound and skin cleansing: Clinical evidence and recommendations. Wounds International
Janniger CK, Schwartz RA, Szepietowski JC, Reich A (2005) Intertrigo and common secondary skin infections. American Family Physician 72(5): 833-8
Junkin J, Selekof JL (2007) Prevalence of incontinence and associated skin injury in the acute care inpatient. JWOCN 34(3): 260–269
Kayser SA, Phipps L, VanGilder CA, Lachenbruch C (2019) Examining Prevalence and Risk Factors of Incontinence-Associated Dermatitis Using the International Pressure Ulcer Prevalence Survey. JWOCN 46(4): 285–90
Kulawik-Pióro A, Miastkowska M, Bialik-Wąs et al (2025) Physicochemical Properties and Composition of Peristomal Skin Care Products: A Narrative Review. Cosmetics 12(2): 74
LeBlanc K, Beeckman D, Campbell K et al (2021) Best practice recommendations for prevention and management of periwound skin complications. Wounds International
Leslie SW, Tran LN, Puckett Y (2024) Urinary Incontinence. [Online] Available at: https://www.ncbi.nlm.nih.gov/books/NBK559095/
Mack I, Hahn H, Gödel C et al (2024) Global Prevalence of Fecal Incontinence in Community-Dwelling Adults: A Systematic Review and Meta-analysis. Clinical Gastroenterology and Hepatology 22(4): 712–31
Maglio A, Malvone AP, Scaduto V et al (2021) The frequency of early stomal, peristomal and skin complications. Br J Nurs 30(22): 1272–6
McNichol L, Bliss, DZ, Gray M (2022) Moisture-Associated Skin Damage: Expanding Practice Based on the Newest ICD-10-CM Codes for Irritant Contact Dermatitis Associated with Digestive Secretions and Fecal or Urinary Effluent from an Abdominal Stoma or Enterocutaneous Fistula. JWOCN 49(3): 235–9
McNichol LL, Ayello EA, Phearman LA et al (2018) Incontinence-associated dermatitis: state of the science and knowledge translation. Adv Skin Wound Care 31(11):502–513
Metin A, Genç Dilek N, Gunes Bilgili S (2018) Recurrent candidal intertrigo: challenges and solutions. Clin Cosmet Investig Dermatol 11: 175–185
National Cancer Institute (2024) NCI Dictionary of Cancer Term – jejunostomy. Available at: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/ jejunostomy
NHS England (2018) Excellence in continence care. [Online] Available at: https://www.england.nhs.uk/wp-content/uploads/2018/07/excellence-in-continence-care.pdf
Nobles T, Syed HA, Miller RA (2024) Intertrigo. [Online] Available at: https://www.ncbi.nlm.nih.gov/books/NBK531489/
Parnham A, Copson D, Loban T (2020) Moisture-associated skin damage: causes and an overview of assessment, classification and management. Br J Nurs 29(12): 30
Pizzol D, Demurtas J, Celotto S et al (2021) Urinary incontinence and quality of life: a systematic review and meta-analysis. Aging Clin Exp Res 33(1): 25–35
Primary Care Dermatological Society (2018) Intertrigo: clinical guidance. [Online] Available at: https://tinyurl.com/2p986b5s
Rolls N, de Fries Jensen L, Mthombeni F et al (2023) Healthcare resource use and associated costs for patients with an ileostomy experiencing peristomal skin complications. Int Wound J 20(7): 2540–550
Romanelli M, Voegeli D, Colboc H et al (2023) Journal of Wound Care 32(7): 411–20
Shaw C, Wagg A (2024) Urinary and faecal incontinence in older adults. Medicine 52
Southgate G, Bradbury S (2016) Management of incontinence-associated dermatitis with a skin barrier protectant. British Journal of Nursing (Urology Supplement) 25(9): 20-9
Taneja C, Netsch D, Rolstad BS et al (2017) Clinical and economic burden of peristomal skin complications in patients with recent ostomies. JWOCN 44(4): 350-57
Troko J, Bach F, Toozs-Hobson P (2016) Predicting urinary incontinence in women in later life: A systematic review. Maturitas 94: 110–6
Vaittinen T, Koljonen K, Tella S et al (2024) Holistically sustainable continence care: A working definition, the case of single-used absorbent hygiene products (AHPs) and the need for ecosystems thinking. Proc Inst Mech Eng H 238(6): 667-81
Vaughan CP, Markland AD, Smith PP et al (2018) Report and research agenda of the American geriatrics society and national institute on aging bedside-to-bench conference on urinary incontinence in older adults: a translational research agenda for a complex geriatric syndrome. J Am Geriatr Soc 66: 773–82
Voegeli D, Tonny Karlsmark, Eric Hans Eddes et al (2020) Factors influencing the incidence of peristomal skin complications: evidence from a multinational survey on living with a stoma. Gastrointestinal Nursing 18(4): 31-38
Voegeli D (2020) Intertrigo: causes, prevention and management. Br J Nurs 29(12): 16-22
World Health Organization (2022) International Statistical Classification of Diseases and Related Health Problems (ICD) [Online] Available at: https://www.who.int/standards/classifications/classification-of-diseases
Woo KY, Beeckman D, Chkravarthy D (2017) Management of MASD: a scoping review. Adv Skin Wound Care: 494–500
Wounds UK (2018) Best Practice Statement: Maintaining skin integrity. Wounds UK
Wounds UK (2023) MARSI Explained. Wounds UK
Yates A (2020) Incontinence-associated dermatitis 1: risk factors for skin damage. Nursing Times 116(3): 46–50
Young T (2017) Back to basics: understanding moisture-associated skin damage. Wounds UK 13(2): 56–65
Zelga P, Kluska P, Zelga M et al (2021) Patient-Related Factors Associated With Stoma and Peristomal Complications Following Fecal Ostomy Surgery: A Scoping Review. JWOCN 48(5): 415–30